Cancer NursingPub Date : 2025-03-01Epub Date: 2024-01-23DOI: 10.1097/NCC.0000000000001322
Yun Jeong Hwang, Ik Yong Kim, Hea Kung Hur, Ji Yong Lee, SoMi Park
{"title":"The Effects of an App-Based Physical Activity Program on Colorectal Cancer Patients Undergoing Chemotherapy: A Randomized Controlled Trial.","authors":"Yun Jeong Hwang, Ik Yong Kim, Hea Kung Hur, Ji Yong Lee, SoMi Park","doi":"10.1097/NCC.0000000000001322","DOIUrl":"10.1097/NCC.0000000000001322","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer is one of the most common malignancies worldwide. Oxaliplatin, which is used as adjuvant chemotherapy, affects quality of life by causing oxaliplatin-induced peripheral neuropathy in colorectal cancer patients.</p><p><strong>Objectives: </strong>This study examined the effects of an application (app)-based physical activity program for alleviating peripheral neuropathy symptoms in colorectal cancer patients undergoing chemotherapy.</p><p><strong>Methods: </strong>This was a randomized controlled study that included 34 patients undergoing chemotherapy after being diagnosed with colorectal cancer. Outcomes were compared between patients who participated in a 6-week app-based physical activity program (experimental group; n = 17) and who received standard booklet education (control group; n = 17). Data were collected using questionnaires, and exercise time was recorded to evaluate intervention adherence.</p><p><strong>Results: </strong>Significant differences were observed between the groups in peripheral neuropathy symptoms ( F = 8.93, P = . 002), interference with activities ( Z = -2.55, P = .011), and quality of life ( F = 7.65, P = . 003). The experimental group showed significantly higher average exercise times at 1 to 4 weeks ( Z = -2.10, P = . 026), 5 to 6 weeks ( Z = -4.02, P < . 001), and 1 to 6 weeks ( Z = -3.40, P = . 001) than the control group.</p><p><strong>Conclusions: </strong>The app-based physical activity program had a positive effect on participants' exercise adherence and reduced peripheral neuropathy symptoms. Thus, we propose the adoption of a mobile health app that can be used at any time or place as an intervention for preventing or alleviating adverse effects during the treatment of cancer patients.</p><p><strong>Implications for practice: </strong>An app-based physical activity program using the mobile health app can be used as a nursing intervention to manage symptoms and increase the health behavior adherence in cancer patients.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"E90-E97"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer NursingPub Date : 2025-03-01Epub Date: 2023-07-11DOI: 10.1097/NCC.0000000000001263
Li-Ting Huang Longcoy, Asha Mathew, Min Kyeong Jang, Masako Mayahara, Ardith Z Doorenbos
{"title":"Experiences of Using Patient Decision Aids for Decisions About Cancer Treatment: A Meta-Aggregation of Qualitative Studies.","authors":"Li-Ting Huang Longcoy, Asha Mathew, Min Kyeong Jang, Masako Mayahara, Ardith Z Doorenbos","doi":"10.1097/NCC.0000000000001263","DOIUrl":"10.1097/NCC.0000000000001263","url":null,"abstract":"<p><strong>Background: </strong>Inconsistent results have been found regarding the effects of patient decision aids (PtDAs) in supporting patients' decision-making for cancer treatment.</p><p><strong>Objective: </strong>This qualitative meta-aggregation presents the experiences of using PtDAs, as perceived by adult patients with cancer, and highlights the components they perceived as important.</p><p><strong>Methods: </strong>We used the 3-phase process for meta-aggregation suggested by Joanna Briggs Institute to identify published studies with qualitative evidence from CINAHL, Ovid-MEDLINE, APA PsycINFO, and EMBASE databases. The selected studies involved adults with various cancer diagnoses. The phenomenon of interest and the context for this review were people's experiences of using PtDAs for decisions about first-line cancer treatment.</p><p><strong>Results: </strong>A total of 16 studies were included. The authors achieved consensus on 5 synthesized findings about PtDAs: (1) improved understanding of treatment options and patient values and preferences; (2) served as platforms for expressing concerns, obtaining support, and having meaningful conversations with healthcare providers; (3) facilitated active personal and family engagement in decision-making; (4) enabled recall of information and evaluation of satisfaction with decisions; and (5) presented potential structural barriers.</p><p><strong>Conclusions: </strong>This study used qualitative evidence to demonstrate the usefulness of PtDAs and identify aspects patients with cancer find particularly beneficial.</p><p><strong>Implications for practice: </strong>Nurses play a crucial role in supporting patients and family caregivers throughout the decision-making process for cancer treatment. Patient decision aids that balance complex treatment information with simple language and illustrations or graphs can enhance patients' comprehension. The integration of values clarification exercises into care can further improve patients' decisional outcomes.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":"81-88"},"PeriodicalIF":2.4,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10782815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9757518","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer NursingPub Date : 2025-02-28DOI: 10.1097/NCC.0000000000001472
Tan Xie, Qingxia Zhang, Shengnan Zhang, Yiyan Huang
{"title":"Effects of Health Education on Self-efficacy, Negative Emotions, and Life Quality in Breast Cancer Patients: A Systematic Review and Meta-analysis.","authors":"Tan Xie, Qingxia Zhang, Shengnan Zhang, Yiyan Huang","doi":"10.1097/NCC.0000000000001472","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001472","url":null,"abstract":"<p><strong>Background: </strong>Breast cancer patients encounter challenges managing acute and chronic symptoms during and after treatment, leading to emotional fluctuations and diminished quality of life. Health education aims to improve knowledge and life skills; however, its specific impact on breast cancer patients' self-efficacy is unclear.</p><p><strong>Objective: </strong>To assess the effects of health education on self-efficacy, depressive symptoms, anxiety, distress, and life quality in breast cancer patients.</p><p><strong>Methods: </strong>Randomized controlled studies were systematically screened in 7 databases from inception of the database to May 1, 2024. Literature quality was assessed using the Cochrane Risk of Bias Assessment tool. Results were pooled using random-effects meta-analyses and reported as standardized mean difference. Heterogeneity was reported using I2 statistic.</p><p><strong>Results: </strong>Sixteen articles were included. Participants in the intervention group exhibited enhanced self-efficacy in posttest (standardized mean difference [SMD], 0.12; 95% confidence interval [CI], 0.01-0.23; P = .04, I2 = 8%) and during the follow-up period (SMD, 0.30; 95% CI, 0.09-0.52; P = .006, I2 = 63%), decreased depressive symptoms (SMD, -0.30; 95% CI, -0.52 to -0.08; P = .0007, I2 = 17%), and increased life quality (SMD, 0.25; 95% CI, 0.01-0.49; P = .04, I2 = 48%) during the follow-up period.</p><p><strong>Conclusions: </strong>Health education can enhance self-efficacy, reduce depressive symptoms, and improve the life quality of breast cancer patients. However, more rigorous research is needed to evaluate their effectiveness due to suboptimal blinding.</p><p><strong>Implications for practice: </strong>The study underscores the critical role of health education in breast cancer management, emphasizing the necessity of integrating comprehensive health education programs into standard care protocols.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer NursingPub Date : 2025-02-24DOI: 10.1097/NCC.0000000000001475
Zhuoran Gao, Siyu Li, Yanzhongcheng Xu, Xinghua Bai
{"title":"Current Status and Influencing Factors of Self-management Positivity in Patients With Head and Neck Neoplasms: A Cross-sectional Study.","authors":"Zhuoran Gao, Siyu Li, Yanzhongcheng Xu, Xinghua Bai","doi":"10.1097/NCC.0000000000001475","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001475","url":null,"abstract":"<p><strong>Background: </strong>Self-management positivity is important for patients to improve treatment outcomes, reduce healthcare costs, and provide an intrinsic motivation to gain hope and self-confidence in coping with their illness. In clinical practice, it has been found that head and neck cancer (HNC) patients have a lower level of self-management positivity.</p><p><strong>Objective: </strong>To investigate the degree of self-management positivity among patients with HNC and analyze its influencing factors.</p><p><strong>Methods: </strong>A cross-sectional survey of 215 patients in the radiotherapy department was conducted using the Patient Activation Measure 13 (PAM13), Health Literacy Management Scale, Acceptance of Illness Scale, Cancer Loneliness Scale, and General Self-efficacy Scale.</p><p><strong>Results: </strong>The PAM13 score of patients with HNC was 63.48 ± 14.7 at level 3. Multiple linear regression analysis showed that widowhood (β = -.127; P < .05), monthly family income per capita (β = .234; P < .01), disease duration (β = .154; P < .01), health literacy (β = .215; P < .01), loneliness (β = -.128; P < .05), disease acceptance (β = .144; P < .05), and self-efficacy (β = .152; P < .01) were the influencing factors of self-management positivity, which accounted for 37.9% of the total variance.</p><p><strong>Conclusion: </strong>Patients' self-management positivity still needs to be improved. Medical staff should attach great importance to patients' psychological dynamics and actively popularize health knowledge in order to effectively enhance self-management enthusiasm.</p><p><strong>Implications for practice: </strong>It is imperative that we give adequate attention to the self-management positivity of HNC patients. In addition, our country can try to incorporate PAM13 into the healthcare system, using the scale to identify patients who lack self-management awareness, knowledge, and ability and are at risk of readmission upon admission or discharge.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Latent Profile Analysis and Related Factors of Colorectal Cancer Knowledge and Health Beliefs and Their Associations With Screening Behavior and Intention Among Urban Populations in China.","authors":"Bingzi Shi, Jing Zhang, Haixin Wang, Xue Rao, Yujing Sun, Wenming Cui","doi":"10.1097/NCC.0000000000001479","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001479","url":null,"abstract":"<p><strong>Background: </strong>Colorectal cancer (CRC) incidence is rising in urban China, and screening participation remains low. Understanding the influence of knowledge and health beliefs on CRC screening behaviors can inform targeted interventions.</p><p><strong>Objective: </strong>To identify latent profiles of CRC knowledge and health beliefs among average-risk urban adults in China and examine factors influencing profile membership.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 500 urban adults, utilizing validated questionnaires on CRC knowledge and health beliefs. Latent profile analysis identified distinct profiles, and multinomial logistic regression assessed sociodemographic predictors.</p><p><strong>Results: </strong>Three profiles emerged: profile 1, \"moderately informed and believing\" (48.0%, n = 240); profile 2, \"underinformed and skeptical\" (18.8%, n = 94); and profile 3, \"well-informed and strongly believing\" (33.2%, n = 166). Unstable employment and low health literacy predicted membership in profile 2, whereas higher social support and proximity to health centers were associated with profile 3. Profile 2 negatively predicted screening behavior (β = -0.516) and intention (β = -0.786), whereas profile 3 showed positive associations (β = 0.541 and β = 0.969, respectively).</p><p><strong>Conclusions: </strong>These findings highlight distinct CRC knowledge and health belief profiles, suggesting that tailored interventions addressing subgroup-specific gaps and barriers could enhance CRC screening engagement in urban China.</p><p><strong>Implications for practice: </strong>Nurses can efficiently identify at-risk populations through brief assessments of employment status, health literacy, and social support and implement targeted interventions such as patient navigation, simplified health education, and social support enhancement to improve screening uptake.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143473256","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer NursingPub Date : 2025-02-18DOI: 10.1097/NCC.0000000000001473
Moira A Visovatti, Mi Sook Jung, Diane Von Ah
{"title":"Assessing the Effects of Yoga on Cognition and Immune Function in Colorectal Cancer: A Feasibility Study.","authors":"Moira A Visovatti, Mi Sook Jung, Diane Von Ah","doi":"10.1097/NCC.0000000000001473","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001473","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related cognitive impairment can interfere with daily functioning and negatively affect quality of life. To date, there are no validated treatments. Yoga may be a promising intervention that combines physical activity and meditation to improve cognition.</p><p><strong>Objectives: </strong>The aim of this study was to assess the feasibility of a randomized controlled trial with yoga, physical activity, and waitlist control arms in colorectal cancer survivors, determine effect sizes, and explore differences among groups.</p><p><strong>Methods: </strong>Interventions included 2 weekly 90-minute sessions over 12 weeks. Participants were assessed before, after, and 3 months after completion of the intervention. Measures included feasibility and acceptability, attention (Attentional Function Index, Attention Network Test, Digit Span, Digit Substitution Test, Trail Making Test), and circulating immune markers (interleukin [IL] 1β, tumor necrosis factor α, IL-6, IL-8, IL-12p70, IL-1 receptor antagonist, tumor necrosis factor receptor II, C-reactive protein, and neopterin). Data analyses included descriptive statistics, comparative analyses, Cohen d statistics, and reliable improvement percentages.</p><p><strong>Results: </strong>Enrollment, retention, and intervention fidelity rates were 39%, 74%, and >75%, respectively. Exploratory analyses showed the yoga group improved performance in alertness at 3 months postintervention at time 3, with 60% of the group demonstrating reliable improvement, and improved cognitive control at time 3, with 30% of the group demonstrating reliable improvement (P < .05).</p><p><strong>Conclusion: </strong>Findings suggest that this randomized controlled trial study is feasible, and yoga may have a positive benefit on cognition.</p><p><strong>Implication for practice: </strong>Yoga is a possible intervention, but to optimize function in colorectal cancer survivors, further validation is needed.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442679","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer NursingPub Date : 2025-02-17DOI: 10.1097/NCC.0000000000001469
Gizem Akıncı, Ruveyde Aydın
{"title":"The Effect of Women's Perceptions of Their Nurses' Communication on Their Distress and Fear of Cancer During Colposcopy: A Multicenter Study.","authors":"Gizem Akıncı, Ruveyde Aydın","doi":"10.1097/NCC.0000000000001469","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001469","url":null,"abstract":"<p><strong>Background: </strong>Effective communication between nurses and women can help determine women's stress and fear levels during colposcopy and enable appropriate interventions to be taken.</p><p><strong>Objective: </strong>This study aimed to examine the effect of women's perceptions of nurse communication on their levels of distress and cancer worry during colposcopy.</p><p><strong>Methods: </strong>This descriptive and correlational study was conducted with 227 women who underwent colposcopy at three hospitals between December 2023 and May 2024. Data collection instruments included the Descriptive Information Form, the Health Care Communication Questionnaire (HCCQ), the Cervical Dysplasia Distress Questionnaire (CDDQ), and the Cancer Worry Scale (CWS). Descriptive statistics, Pearson correlation analysis, and hierarchical multiple regression analysis were used for statistical analyses.</p><p><strong>Results: </strong>The average age of participants was 36.28 ± 7.75 years, with 92.5% being married and 41% being high school graduates. A strong negative correlation was found between HCCQ and CDDQ (r = -0.714, P = .000) and CWS (r = -0.718, P = .000). A strong positive relationship was also identified between CDDQ and CWS scores (r = 0.759, P = .000). Descriptive characteristics and the HCCQ significantly explained 73.4% of the variance in the CDDQ (R2 = 0.734, P = .000). Additionally, descriptive characteristics, the HCCQ, and the CDDQ significantly explained 82% of the variance in the CWS (R2 = 0.820, P = .000).</p><p><strong>Conclusion: </strong>The study demonstrated that women's descriptive characteristics and their perceptions of nurse communication are significant predictors of cervical dysplasia distress and cancer fear during colposcopy.</p><p><strong>Implications for practice: </strong>By gaining effective communication skills and equipping themselves with psychoeducation, nurses can take initiatives to reduce women's stress and cancer fear levels during colposcopy.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Cancer NursingPub Date : 2025-02-17DOI: 10.1097/NCC.0000000000001471
Chun Fan Lee, Cannas Kwok, Mi-Joung Lee
{"title":"Does Family History and Knowing a Friend With Breast Cancer Predict Cancer Knowledge and Screening Practices? An International Study of Asian Women.","authors":"Chun Fan Lee, Cannas Kwok, Mi-Joung Lee","doi":"10.1097/NCC.0000000000001471","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001471","url":null,"abstract":"<p><strong>Background: </strong>Family history of breast cancer and social networks were found to have an influential effect on women's cancer knowledge and screening practices. There is a scarcity of studies in this area among Asian populations.</p><p><strong>Objective: </strong>This study aimed to explore the effect of family history and knowing a friend with breast cancer on Chinese and Korean women's knowledge of breast cancer and screening practices.</p><p><strong>Methods: </strong>A convenience sample of 742 women, comprising 493 and 249 Chinese and Korean women, respectively, was recruited. Data were collected by the Chinese and Korean version of the Breast Cancer Screening Beliefs Questionnaire. Multivariable linear regression was performed to answer the research question.</p><p><strong>Results: </strong>Korean women with neither family history nor a friend history had significantly higher scores in all 3 subscales of the BCBSQ compared with their Chinese counterparts. In contrast, no significant differences were found between the 2 cohorts in women who have either family history or a friend history. Comparing within the Chinese cohort, women with a friend history obtained a significantly higher score in all 3 subscales of BCBSQ than those without a friend history. Similar significant association was found between having a friend history and screening practices in both cohorts.</p><p><strong>Conclusion: </strong>Knowing a friend with breast cancer is an influential factor that impacts women's cancer knowledge and screening practices.</p><p><strong>Implications for practice: </strong>The concept of peer influence should be incorporated into the design of breast cancer awareness and screening promotion programs for women from these cultural backgrounds.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442680","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Patterns of Perspectives on Oncology Healthcare Needs Among Women With Gynecologic Cancer: A Q-Methodology Study.","authors":"Shu-Chuan Yu, Jong-Long Guo, Chia-Hui Sun, Ching-Hao Chang, Shu-Fen Chen, Chiu-Mieh Huang","doi":"10.1097/NCC.0000000000001474","DOIUrl":"https://doi.org/10.1097/NCC.0000000000001474","url":null,"abstract":"<p><strong>Background: </strong>Gynecologic cancer significantly impacts women's healthcare needs; however, these needs are often underexplored from the patients' perspectives.</p><p><strong>Objective: </strong>To identify and describe the patterns of perspectives on the oncology healthcare needs of women with gynecologic cancer.</p><p><strong>Methods: </strong>This Q-methodology study was conducted between January and October 2023 using 60 female patients with gynecologic cancer. Thirty-six Q statements were constructed based on the guidelines of the Cancer Diagnosis and Treatment Quality Assurance Measures, and 10 gynecological nursing staff members were interviewed to explore their experiences with current clinical practices in hospitals. The study adhered to SQUIRE 2.0 (Standards for QUality Improvement Reporting Excellence). PQ Method 2.35 software was used to identify different patterns of patients' perspectives.</p><p><strong>Results: </strong>The final model retained 4 factors, explaining 59% of the variance. These factors emphasized (1) family-centered communication over palliative care information, (2) patient-centered communication over rehabilitation information, (3) psychological and physiological adaptation over receiving information in advance, and (4) treatment and side effect information over palliative care information.</p><p><strong>Conclusions: </strong>Clustering patients by perspectives can assist healthcare providers in understanding patient expectations. The emerging perspectives highlight the patients' expectations of communication regarding their treatment plans. Palliative care was the least evident healthcare need across the 4 groups of patients.</p><p><strong>Implication for practice: </strong>The findings capture 4 unique perspectives of patients' expectations with healthcare needs. These insights can inform researchers and practitioners in developing needs-matched healthcare for women with gynecologic cancer.</p>","PeriodicalId":50713,"journal":{"name":"Cancer Nursing","volume":" ","pages":""},"PeriodicalIF":2.4,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}